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General NPI Number Information
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NPI Number | 1467687285
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE AMBULANCE SERVICES INC.
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | AVE. 65 INF. KM 2.0 OFICINA 23
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-486-3225
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Fax | 787-486-3225
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Provider Business Mailing Address
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Address Line | PO BOX 71325 SUITE 259
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 787-486-3225
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Fax | 787-620-4884
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Authorized Official
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Title or Position | MANAGER
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Name | MR. IRVING J VELEZ
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Credential |
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Telephone | 787-486-3225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TC AMB 373
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License Number State | PR
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